Individual
DR. JONATHAN A GOLDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
500 PLAZA COURT, SUITE B, EAST STROUDSBURG, PA 18301
(570) 421-8526
(570) 421-7899
Mailing address
206 E BROWN ST, POCONO HEALTHCARE MANAGEMENT-PROFESSIONAL CENTER, EAST STROUDSBURG, PA 18301-3006
(570) 420-4951
(570) 476-3754
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS005536L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012760220005
—
PA
Enumeration date
10/27/2005
Last updated
02/06/2012
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